Organization
FRC GASTRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIOLA RIOS DE CHOUDENS MD (OWNER/CEO)
(787) 238-8628
Entity
Organization
Contact information
Practice address
EDIFICIO DR. ARTURO CADILLA VINAS SUITE 210, BAYAMON, PR 00961
(787) 238-1575
Mailing address
RIVIERA VILLAGE 80 CALLE QUEENS, BAYAMON, PR 00959
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
261QE0800X
Endoscopy Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124412010
PROVIDER NPI
—
01
—
NX689
MEDICARE PTAN
—
Enumeration date
09/29/2022
Last updated
09/29/2022
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